| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
3,637 |
3,625 |
$773K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,044 |
4,733 |
$458K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
789 |
483 |
$348K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,719 |
2,715 |
$333K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,549 |
1,549 |
$281K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,516 |
1,498 |
$206K |
| 95117 |
|
9,252 |
4,450 |
$118K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,134 |
933 |
$25K |
| 94060 |
|
125 |
124 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
27 |
$2K |
| 99051 |
|
251 |
187 |
$852.11 |
| 94664 |
|
21 |
21 |
$347.08 |